Cancer Staging:Gastric CancerMedical Univ. ofSouth CarolinaDigestive Disease Center Dr. Ian Penmanand Dr. David Williams .TNM staging and grouping of Gastric Cancer(AJCC Cancer Staging Manual. Fifth Edition. 1997. Lippincott-Raven, publishers). Depth of invasion correlates with reduced survival while regional nodal metastases are the most powerful prognostic indicator.Gastric Cancer, T1On EUS, gastric cancers appear as irregular hypoechoic lesions with variable penetration of the gastric wall. A